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MUKTA MEDICAL INC
NPI 1194197152
Internal Medicine - Infectious Disease in Randallstown, MD

Active since October 29, 2015
5415 OLD COURT RD, SUITE 101, RANDALLSTOWN, MD 21133(410) 922-2650(410) 922-1612 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2016, Dec 8, 2015 (2 updates tracked since 2015).

About Mukta Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUKTA MEDICAL INC (NPI 1194197152) is a healthcare organization registered as an infectious disease in Randallstown, Maryland and active in the NPI registry since October 2015. The organization lists Mohammed Kiddugavu, Owner, as its authorized official.

NPPES Registry Identity

NPI1194197152
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMUKTA MEDICAL INC
Location Address5415 OLD COURT RD, SUITE 101Randallstown, MD 21133-5170
Mailing AddressPo Box 4784Baltimore, MD 21211-0784 · (410) 922-2650 · Fax (410) 922-1612
Phone(410) 922-2650
Fax(410) 922-1612
Organization SubpartNo
Authorized OfficialMohammed KiddugavuOwner · (410) 922-2650
Enumeration DateOctober 29, 2015
Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration
✔ NPI 1194197152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MD · D0070832
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5415 OLD COURT RD, Randallstown, MD 21133
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Other Identifiers 2

Medicaid901901400MD
Medicare PIN450901MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SINAI HOSPITAL OF BALTIMORE INC
General Acute Care Hospital
5415 OLD COURT RD, SUITE 200
RANDALLSTOWN, MD 21133
Baltimore County (410) 601-9515
BEST HEALTH CARE LLC
Internal Medicine
5415 OLD COURT RD, SUIT # 101
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-1608
SINAI HOSPITAL OF BALTIMORE INC
Psychiatry & Neurology (Neurology)
5415 OLD COURT RD, S04
RANDALLSTOWN, MD 21133
Baltimore County (410) 601-9515
MRS. ANGEL V SHANNON MS, CRNP
Nurse Practitioner (Adult Health)
5415 OLD COURT RD, SUITE 102
RANDALLSTOWN, MD 21133
Baltimore County (410) 701-4600
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Surgery
5415 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 469-5555
HEALTHCARE PARTNERS OF CENTRAL MARYLAND
Internal Medicine
5415 OLD COURT RD, SUITE 101
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-1608
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Orthopaedic Surgery (Sports Medicine)
5415 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 601-7529
CARROLL HEALTH GROUP, LLC
Surgery
5415 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 871-7080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukta Medical Inc's NPI number?

The NPI number for Mukta Medical Inc is 1194197152. It was assigned to this organization in the NPPES registry on October 29, 2015.

Where is Mukta Medical Inc located?

Mukta Medical Inc is located at 5415 Old Court Rd Suite 101, Randallstown, MD 21133. The listed phone number is (410) 922-2650.

What is Mukta Medical Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Mukta Medical Inc was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.